Jacqueline E Corcoran DO

NPI 1659401834 - Internal Medicine - 207R00000X

NPI Details
NPI 1659401834
Gender Female
Enumeration Date 03/06/2007
Last Updated 01/22/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
50505 SCHOENHERR RD
SUITE 340
SHELBY TOWNSHIP MI, 48315-3140, US
Phone (586) 731-8400
Fax (586) 731-8406
Business Location
1746 MOMENTUM PL
CHICAGO IL, 60689-5317, US
Phone (586) 731-8400
Fax (586) 731-8406
Toxanomy
Taxonomy Code 207R00000X
License State Michigan
License Number 5101015935
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According to our database, Dr. Jacqueline E Corcoran DO NPI is 1659401834, taxonomy code is 207R00000X and license number is 5101015935, license state is located at Michigan. Jacqueline E Corcoran DO physically located at 50505 Schoenherr Rd, Shelby Township MI, 48315-3140. NPI Number Jacqueline E Corcoran DO has the Individual type.

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1659401834 NPI number is provided on an as is basis without warranty of any kind. 1659401834 is maintained by the National Plan & Provider Enumeration System. The contents of Jacqueline E Corcoran DO are for informational purposes only.